Chapter 588: Someone died in the Department of Gastroenterology. Participate in the investigation
"To understand the scope of work of the Quality Control Department, we must first understand what we do. The hospital has two departments for the control of medical quality, namely the Medical Department and the Quality Control Department. The Medical Department is equivalent to the coach of medical staff and clinical departments. The Medical Department teaches the medical staff of clinical departments how to operate the specific clinic behavior and how to improve the service quality."
This was the first time Zhou Can heard of such an argument.
But if you think about it carefully, the Medical Department is really a bit like a coach. It not only helps the clinical departments to deal with medical disputes, but also makes specific requirements during clinical operations and guides medical staff to operate in compliance.
"Our quality control department is like a referee. It evaluates and scores each clinical department, even down to the diagnosis and treatment of each patient. It evaluates whether the examination items prescribed during the diagnosis process are comprehensive, whether the medication is reasonable, whether the surgical operation is compliant, and whether the quality of surgery and treatment is up to standard. The members of our first group include core members from multiple departments such as medical management, nursing, hospital infection management, medical engineering, information, logistics, medical technology, and pharmacy."
In the past, I only knew that the Quality Control Department was very powerful and had very strict controls, just like the king of the world.
Moreover, whenever the clinical department is fined, it always behaves itself.
Now knowing that the members of the first group of the Quality Control Department are composed of core members from so many departments and divisions, Zhou Can finally understood why the Quality Control Department is so powerful.
In terms of level, there is no question of who is bigger or smaller between the Medical Department and the Quality Control Office.
However, in actual operation, the power of the Quality Control Department is obviously much greater than that of the Medical Department.
Now I understand that its power is greater than that of the Medical Department, not because the department itself is of a higher rank, but because the members of the Quality Control Department are so awesome.
The highest leader of the Medical Department is the Chief of Medical Department.
Let’s take a look at the members of the Quality Control Department. The director and leader of the first group is Qin Yuanzhu.
If Dean Zhu was not so busy, it is even possible that he himself would serve as director.
Even so, Assistant Dean Qin's rank is one level higher than Chief Xin of the Medical Department.
Then among the members of the Quality Control Department, there are hospital-level leaders like Vice President Bai and Vice President Ye. Any one of them can crush the Medical Department.
It is not difficult to hear from Assistant Dean Qin's words that every member of the first group of the Quality Control Department should be no small figure.
Zhou Can was able to squeeze into this first group, and he would have the opportunity to get to know other group members and expand his network of contacts in the future. And because the people he knew were all bigwigs in the hospital, these contacts would be very useful.
"Remember, the Quality Control Department is not a housekeeper. We must carry out our work appropriately. Clinical departments are hostile to us. If we go to a department to check it three times a day, it will easily force them to rebel. Therefore, we must pay attention to the methods and ways of carrying out our work in the Quality Control Department. We must be moderate in severity and leniency."
After Assistant Dean Qin formally recruited Zhou Can into the Quality Control Department, he began to carefully teach him some things to pay attention to in his work.
"We focus on the following categories: patients dying during treatment, patients dying shortly after surgery, three or more patients complaining about the same doctor in a short period of time..."
"clear."
Zhou Can nodded in agreement.
"The Quality Control Department usually conducts work in a scattered manner, and they go wherever problems arise. You are a doctor in the clinical department, and you are generally not allowed to work alone. If there is a need for preliminary identification of medical responsibility or diagnosis and treatment of key patients, you may be transferred to support at any time. I know that your work is already very busy. Are you really not considering taking a part-time job in the political department in a few years?"
At the end of the conversation, Qin Yuanzhu still did not give up.
Once again, he asked Zhou Can for his opinion in a caring tone.
"Don't think about it. You trust me so much, so I won't let you down. I'm young anyway, so I can hold on if I grit my teeth a little more."
Zhou Can had finally secured this position with the help of two vice presidents, so naturally he was unwilling to give it up.
"Okay, go do your thing! I'll call you when there's a mission."
Qin Yuanzhu didn't try to persuade him any further.
…
When he returned to the emergency department, the hospital's new appointment announcement had already been sent out.
Director Lou, Deputy Director Han and others expressed their congratulations to Zhou Can.
It is a great thing for the emergency department that someone in the department works in the quality control department.
It's easier to get things done if you have someone in the court as an official.
Although Dr. Xu didn't say anything, it was obvious that he was also very happy.
Colleagues in the operating room clamored for Zhou Can to treat them all. Such a big happy event should naturally be celebrated.
Zhou Can couldn't refuse.
This is also an opportunity to build good relationships with everyone.
He set up two tables in the hotel and invited all the medical staff in the operating room to have dinner. Some people needed to be on duty and couldn't go, so Zhou Can ordered a sumptuous takeout for them.
When Su Qianqian returned home in the evening, she was extremely happy to learn that he had been promoted.
Zhou Can was sleeping soundly in the middle of the night when he was awakened by the ringing of .
I answered the call in a daze.
"Hello, hello!"
"Doctor Zhou, please come to the gastroenterology department of the hospital immediately. A patient has died suddenly and we need you to come and see him."
The voice was Qin Yuanzhu's voice.
Zhou Can was startled and quickly got out of bed, put on his clothes and ran to the hospital.
This was the first time he was involved in handling a death incident since becoming a member of the Quality Control Department.
Regardless of the reason, if a patient dies in the hospital, it must be reported to the medical department in a timely manner.
Life is the most important thing, especially in hospitals.
The Medical Department is the coach of the clinical department. After receiving the notification of the patient's death, they will immediately send people to fix various materials and evidence and conduct a preliminary investigation into the cause of the incident.
But the Medical Department’s opinion does not count. At this time, we have to ask people from the Quality Control Department to be present to participate in the appraisal.
What will happen if the referee is not there?
Gastroenterology has a deep connection with Zhou Can, as he had been trained in the department for a long time.
I didn’t expect that the first cause of death identification I participated in after joining the Quality Control Department would be in the Department of Gastroenterology.
When he arrived at the Department of Gastroenterology, the atmosphere was very serious.
The family members were all extremely sad, and two of the male family members had angry expressions on their faces.
After a patient dies, most of their family members will not be in a good mood.
Reasonable family members will ask the hearse to take the body to the funeral home as required by the hospital.
More difficult family members may make a big fuss.
It is even possible that the hospital will be smashed and the medical staff will be beaten on the spot.
It is late at night and there are few medical staff on duty, which makes it more difficult to deal with the patient's death.
There was only one deputy chief in the medical department, which was considered a very high rank.
There were a total of four people from the Quality Control Department, including Assistant Dean Qin and two others I didn't know, a man and a woman.
"Let me introduce you. This is Director Ju Shiman from the Nursing Department, and this is Director Liu Shiqiu from the Hospital Infection Control Office. Director Liu used to work in the Internal Medicine Department and has extensive clinical experience in internal medicine." After introducing the two, Assistant Director Qin looked at Zhou Can. "This is Doctor Zhou Can from the Emergency Department, deputy team leader of the operating room."
At present, it seems that the only clinical department position Zhou Can has is the deputy team leader of the operating room.
"The patient suddenly vomited a lot of blood and had convulsions half an hour ago. He died despite failed rescue efforts. We asked you to come here because the family members have doubts about the quality of the hospital. The three of you will verify the care and treatment of the patient during his hospitalization. As for the specific cause of death of the patient, if the family members are not convinced, they can apply for a forensic examination."
Assistant Dean Qin explained the general situation.
Death is the most important thing, and generally few family members are willing to go through the process of forensic identification, because applying for a forensic identification requires an autopsy of the body.
Moreover, large institutions like Tuya usually have close ties with appraisal agencies.
Unless there is obvious serious fault, the results of the appraisal will generally be more favorable to the hospital.
Whether for the purpose of maintaining the stability of the current medical environment or for other interests, appraisal agencies are generally friendly to hospitals.
The patient's body has not been collected yet because he died suddenly in the middle of the night and the nurses and corpse collectors have all gone to rest.
I guess it will take some time to process it.
Zhou Can discovered that the patient had a urinary catheter, indicating that he had received special treatment before his death.
At this moment, Director Shang of the Department of Gastroenterology also rushed to the scene.
The patient's attending physician should have also come, but since the family members were very emotional, he chose not to show up.
This is understandable.
The hospital will not allow doctors to meet with family members easily in order to protect the doctors involved. Even if negotiations are necessary, the medical department will take the lead in negotiating with the family members.
It can be seen that the patient's abdomen is bulging, but his body is abnormally thin.
First of all, the patient is a male, and the possibility of pregnancy is basically ruled out.
The belly is bulging so high, it is either due to bloating or inability to defecate.
"Now that you three have a general understanding of the situation, go to the conference room inside to participate in the discussion." Assistant Dean Qin greeted them.
"clear."
The other two were veterans with rich work experience and understood Assistant Director Qin's instructions.
Zhou Can is a newcomer, but he is not stupid.
Many things cannot be discussed in front of the family members, so the doctors discuss behind closed doors, and after reaching a conclusion, the leaders give their opinions on how to deal with the situation. Then the medical department, a professional in resolving medical disputes, will come forward to communicate with the family members to resolve the issue.
The nurse who was supposed to collect the body arrived soon. Someone persuaded the family members to leave and put the body into a bag first.
Because of the dispute, the grooming was basically not done.
The family members watched from the side and did not allow the body to be moved.
The deceased was not very old, probably no older than 40. I don't know if he had a wife or children, but I didn't see any middle-aged women crying particularly sadly at the scene.
There was only an old lady with white hair crying loudly.
An old man was supporting her.
They should be a couple.
The two people's faces have certain similarities with the deceased , and they are most likely the deceased's parents.
It is really heartbreaking to watch the elderly send off the young.
Zhou Can took off his gloves, threw them into the trash can, and walked towards the meeting room.
Assistant Dean Qin was the person with the highest status in the conference room and sat in the main seat. The deputy chief of the medical department sat next to him.
Director Shang of the Department of Gastroenterology, three doctors and two nurses were sitting alone on the other side.
Basically, now they are under investigation by the leaders of the administrative department, and they work with the medical department and the quality control department to find out the cause of death of the patient and clarify the division of responsibilities.
"Have you three finished your investigation?"
Dean Qin invited Zhou Can and others to sit over.
"I've almost finished the investigation."
The three of them sat in the empty seat to the left of Assistant Director Qin.
This was also the first time that Zhou Can faced Director Shang and others from the perspective of an administrative leader.
"Director Ju, is there a problem with the patient's care?"
Assistant Director Qin asked Director Ju Shiman of the Nursing Department.
"Well...there's basically no problem with the medication, but the catheter may not be properly fixed."
Her words made Director Shang change their expressions slightly.
